How much rates vary
Facilitymedian $437 · 10th to 90th $245 to $2,884Professionalmedian $234 · 10th to 90th $155 to $437
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $331.13 | Facility | None | $245.47 | $245.47 | $331.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $60.26 | Facility | 26 · Professional part | $50.12 | $60.26 | $60.26 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $602.56 | Facility | TC · Technical part | $186.21 | $245.47 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $295.12 Typical High $380.19 | Professional | None (both parts) | $181.97 | $295.12 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $50.12 | $58.88 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $245.47 Typical High $263.03 | Professional | TC · Technical part | $123.03 | $245.47 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $43.65 | $51.29 | $93.33 |
AmeriHealth Setting Facility Modifier None Typical Low $251.19 Median $630.96 Typical High $5,370.32 | Facility | None | $251.19 | $630.96 | $5,370.32 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $131.83 | Professional | 26 · Professional part | $67.61 | $67.61 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $346.74 Typical High $467.74 | Facility | None | $269.15 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $239.88 Typical High $537.03 | Professional | None (both parts) | $138.04 | $239.88 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $114.82 | Professional | 26 · Professional part | $41.69 | $45.71 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $186.21 Typical High $407.38 | Professional | TC · Technical part | $95.50 | $186.21 | $407.38 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $263.03 | Professional | None (both parts) | $204.17 | $239.88 | $263.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $85.11 | Professional | 26 · Professional part | $66.07 | $75.86 | $85.11 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $165.96 Typical High $177.83 | Professional | TC · Technical part | $138.04 | $165.96 | $177.83 |
Horizon BCBS Setting Facility Modifier None Typical Low $338.84 Median $562.34 Typical High $3,630.78 | Facility | None | $338.84 | $562.34 | $3,630.78 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $199.53 | $229.09 | $426.58 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $89.13 | Professional | 26 · Professional part | $58.88 | $67.61 | $89.13 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $162.18 Typical High $269.15 | Professional | TC · Technical part | $141.25 | $162.18 | $269.15 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $741.31 | Facility | None | $338.84 | $338.84 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $141.25 | $218.78 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $117.49 | Professional | 26 · Professional part | $45.71 | $57.54 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $281.84 | Professional | TC · Technical part | $95.50 | $144.54 | $281.84 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $100.00 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $40.74 | $58.88 | $58.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $177.83 Median $251.19 Typical High $251.19 | Professional | CT · Older CT scanner | $177.83 | $251.19 | $251.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $234.42 Typical High $234.42 | Professional | FX · Film X-ray | $165.96 | $234.42 | $234.42 |
Where New Jersey sits
The same service costs 5.5 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New Jersey· 36th of 51
$240
AK $692UT $126
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.